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NUR 354 Exam 4 Questions with Complete Answers
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NUR 354 Exam 4 Questions with Complete Answers
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NUR 354 Exam 4 Questions withComplete Answers
paranoid personality disorder - Answer--Longstanding distrust and suspiciousness of
others based on the irrational believe that others want to exploit, harm, or deceive the
person
-Hypervigilant, anticipate hostility, counterattack by being hostile
-may have grown up in households filled with rage and/or humiliation
-defense mechanism = Projection
schizoid personality disorder - Answer--neither approval or rejection from others seems
to affect person (friendships, dating, sex rare)
-frequently feel depolarized (observer rather than participant in life experiences)
-raised in cold/neglectful atmosphere
-predisposed to shyness
-symptoms start in childhood/adolescence, poor academics, detachment, avoid close
relationships
-antidepressants and atypical antipsychotics to settle symptoms
schizotypal personality disorder - Answer--severe social and interpersonal deficits
(paranoid)
-misinterpret motivations of others as being out to get them; blame others for social
isolation
-odd beliefs and magical thinking
-psychotic symptoms exist to less degree
-strong genetic link
-tx: psychotherapy and low-dose antipsychotics
histrionic personality disorder - Answer--emotional attention self-centeredness, low
frustration tolerance, excessive emotionality
-impulsive and melodramatic
-may be flirtatious or provocatively
-most do not realize they have an issue and will not seek treatment
tx: psychotherapy, antidepressants/anti anxiety
avoidant personality disorder - Answer--low self-esteem especially in social situations
-feeling of inferiority compared to peers
-reluctant to engage in unfamiliar activities w/ new people
-linked to parental and peer rejection/criticism
tx: antidepressants, individual group therapy
dependent personality disorder - Answer--high need to be taken care of, submissive
and separation anxiety
-fear of abandonment
, -more vulnerable to others due to submissive nature
-manipulate others to take responsibilities
tx: psychotherapy (can treat depression and anxiety)
obsessive compulsive personality disorder - Answer--rigidity, inflexible standards to self
and others
-persistence to goals long after it is necessary, even if self defeating or relationship
defeating
-fearful of imminent catastrophe
tx: SSRIs, psychotherapy (will seek help for anxiety and depression)
antisocial personality disorder - Answer--commonly referred to as sociopaths
-personality traits; antagonistic, deceitful, manipulative, risk-taking, irresponsibility,
impulsivity
-profound lack of empathy, remorse, guild
-little to no capacity for intimacy and will fake it to manipulate others
narcissistic personality disorder - Answer--arrogant, inflated view of self-importance,
entitles, lack of social empathy, exploitive of other people
-most feel intense shame and have fear of abandonment (don't show it)
-main personality trait is antagonism, represented by grandiosity and attention seeking
tx: CBT, group therapy, lithium
borderline personality disorder - Answer--severe impairments in functioning
-marked instability in emotional control or regulation, impulsivity, identity, or self image
distortions, unstable mood and relationship
-significant emotional lability - often out of proportion
-highly self destructive (chronic SI)
-defense mechanism is splitting
-antagonistic, hostility, anger, irritability in relationships
compensation - Answer--Counterbalance perceived deficiencies by emphasizing
strengths
Adaptive:
-Can reinforce a person's self esteem
-Ex - "I may not be able to cook but I can do dishes!"
Maladaptive:
-Ex - A businessman perceives his small physical stature negatively. He tries to
overcome this by being aggressive, forceful, and controlling in business dealings.
conversion - Answer--Unconscious transformation of anxiety into a physical symptom
with no organic cause
Maladaptive:
-A man becomes blind after seeing his wife flirt with other men
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